Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
(New Admission Diploma in Nautical Science )

APPLICATION FOR ADMISSION - 2021

 
  Dossier ID: DNS2176562
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: VIPUL KRISHNA GAIKWAD
Mother's Name: KOMAL KRISHNA GAIKWAD
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Jul 2001 Nationality: Indian
Place of Birth: Pune Personal Identification Mark: Mole on chest
Blood Group: A + Address for Communication: Sr.no 33/7/21 Flno.9 Gurudatta apt trimurti chowk ambegaon Budruk Katraj Pune
State: Maharashtra Country: India
Pin: 411046 City/District: Pune
Mobile no: 9860431503 Telephone No. with STD code:
Aadhar Card No:798722076323 E-mail: vipulgaikwad1261@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Krishna Maruti Gaikwad Relationship with candidate: Father
Parents Date of Birth: 10 Nov 1971 Parent's/Guardian's Occupation/Designation: Service
   
Office Address:
   
Address: Bharti hospital Near Satara road Katraj, Pune
Country: India State: Maharashtra
City/District: Pune Pin: 411043
Tel: Mobile no.: 7588950150
Fax: Email: krishnamgaikwad123@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2021
Board: CBSE Board: Maharashtra
School: Bharti Vidyapeeth English Medium School School: NR Khan jr. College
City: Pune City: Pune
English %: 66 Board Roll No./Seat No.:
Aggregate Percentage: 55 School/College Code:
  Centre code:
  Address of School/College: Kondwa khrud ,pune
  Pin: 411048
  Contact Nos: 7020166856
  Email: shaikhinovative@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: By reading and knowing more and more information about Shipping company and sealife
Why do you wish to join TMI?: TMI is the Indias best maritime institute and I want to be a part of it
What are your hobbies?: Swimming,badminton, cricket playing those games
What are your strengths?: I have positive attitude towards my work
What are your weaknesses?: I become restless when my task is incomplete
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Birth certificate not uploaded DGS Approved Medical Fitness Certificate not uploaded Class X marksheet not uploaded School leaving certificate not uploaded Class XII admit card not uploaded Class XII marksheet not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form